Effects of multi-directional oscillatory vibration in the treatment of cellulite and body remodeling / Efeitos da terapia vibro-oscilatória multidirecional no tratamento da celulite e remodelamento corporal

Abstract Introduction: Several technologies have been developed and optimized for the treatment of unaesthetic disorders. Among them is the oscillatory vibration therapy, a novel form of treatment based on the mechanical and physiological fundamentals of the vibration platform. Objective: The present study evaluated the efficacy of the oscillatory vibration therapy in the improvement of body contour remodeling and in the aspect of cellulite in women. Methods: This is a prospective longitudinal comparative study, in which the following evaluation tools are used: anthropometry, perimetry, adipometry, evaluation of skin viscoelasticity with Cutometer®, evaluation of the thickness of the hypodermis with diagnostic ultrasound and analysis of severity of cellulite (CSS). The evaluations occurred at the start and 1 week after the end of ten oscillatory vibration therapy. The results were analyzing using a paired student's t-test with interval confidence of 95% (PValue <0.05). Results: Thirty women took part in the research, with age of 33 ± 9 years, weight of 62 ± 11 kg, height of 1.66 ± 0.06 m, BMI of 22 ± 2 kg/m2. The measurements of perimetry, adipometry, analysis of subcutaneous tissue thickness by means of diagnostic ultrasound and analysis of skin viscoelasticity did not present significant alterations. However, the CSS variable of the right gluteus (7.3 ± 1.8 to 5.8 ± 1.6 ≤ 0.0001), left gluteus (7.2 ± 1.9 to 5.8 ± 1.6= 0.0001), right thigh (6.9 ± 1.9 to 5.6 ± 1.4 = 0.0004), left thigh (6.9 ± 1.9 to 5.6 ± 1.3 = 0.0004) and Celluqol® (59 ± 16 to 49 ± 16 = 0.022) presented significant difference. Conclusion: The multi-directional oscillatory vibration therapy is an effective and efficient therapy for the treatment of cellulite; however, for the treatment of body remodeling, it must be further evaluated and studied. (AU)

Introdução: Várias tecnologias vêm sendo desenvolvidas e otimizadas para o tratamento das afecções inestéticas. Dentre elas está a terapia vibro-oscilatória, uma nova forma de tratamento baseada na fundamentação mecânica e fisiológica da plataforma vibratória Objetivo: O presente estudo avaliou a eficácia da terapia vibro-oscilatória para melhora do remodelamento corporal e aspecto de celulite em mulheres. Métodos: Trata-se de um estudo clínico longitudinal prospectivo e comparativo, no qual se utilizaram as seguintes ferramentas de avaliação: antropometria, perímetria, adipometria, avaliação da viscoelasticidade da pele com Cutometer®, avaliação da espessura da hipoderme com ultrassom diagnóstico e análise da escala de severidade da celulite (CSS). As avaliações ocorreram no início e após 1 semana de término das dez sessões da terapia vibro-oscilatória. As análises estatísticas foram realizadas com o software Bioestat 5.0, utilizando o teste de normalidade de Lilliefor (P-valor > 0,05), teste paramétrico e teste T-Student da amostra pareada. Resultados: Trinta mulheres participaram da pesquisa, com média de idade de 33 ± 9 anos, peso médio de 62 ± 11 kg, altura média de 1,66 ± 0,06 metros, IMC médio de 22 ± 2 kg/m2 . As medidas de perímetria, adipometria, análise da espessura do tecido subcutâneo por meio de ultrassom diagnóstico e análise da viscoelasticidade da pele não apresentaram alterações significativas. Entretanto as variáveis de CSS glúteo direito (7,3 ± 1,8 para 5,8 ± 1,6 ≤ 0,0001), glúteo esquerdo (7, 2 ± 1,9 para 5,8 ± 1,6 = 0,0001), coxa direita (6,9 ± 1,9 para 5,6 ± 1,4 = 0,0004), coxa esquerda (6.9 ± 1,9 para 5,6 ± 1,3 = 0,0004) e Celluqol® (59 ± 16 para 49 ± 16 = 0,022), apresentaram diferença significativa. Conclusão: A terapia vibro-oscilatória multidirecional é uma terapia efetiva e eficaz para o tratamento da celulite, porém para o tratamento de remodelamento corporal ela deve ser mais bem avaliada e estudada. (AU)

¿Qué tan importante es la estética en la salud? Análisis del tratamiento con láser en los cuidados de la piel / How important is aesthetics in health? Analysis of laser treatment in skin care

Contexto: la importancia de la medicina estética en salud y opciones más solicitadas por los pacientes. Objetivo: determinar los tipos de tratamientos láser utilizados con mayor frecuencia en la Clínica Estética Redux, características de los pacientes y parámetros utilizados con el equipo láser Synus Novadiode 810T, en el período agosto 2010 a julio 2011. Sujetos y métodos: se atendieron 238 pacientes en los cuales se practicaron 432 intervenciones con un rango de 2 a 7 atenciones por paciente. Por ser predominante el fototipo de piel IV (96% de casos) se usaron los parámetros mínimos recomendados por el fabricante del equipo subiendo a un máximo de fluencias de acuerdo al tipo y tono de piel y a la sensibilidad individual de cada paciente. Resultados: predominaron atenciones en mujeres (rango de 3:1), notándose la creciente preocupación del sexo masculino respecto al cuidado de su piel. En cuanto a la edad, el promedio fue de 37 años con un rango de 25 años a 50 años, lo que indica que interés en el cuidado de la piel, especialmente facial cuando transcurre la tercera década de la vida. Destacan los tratamientos combinados (18,9%), discromías (18%), eliminación de lunares (14,3%) y rejuvenecimiento (13%). Conclusión: existe una creciente preocupación en las mujeres, respecto al cuidado de su piel, especialmente facial cuando transcurre la tercera década de la vida, donde es más frecuente el tratamiento combinado de discromías junto a cicatrices, telangiectasias o líneas de expresión. Además hay que considerar la importante demanda de tratamientos láser siendo el mes de agosto el de mayor atención atribuyéndose al periodo de vacaciones en la región sierra. (AU)

Context: importance of aesthetic medicine in health and options most requested by patients. Objective: to determine the types of laser treatments used most frequently in the Redux Aesthetic Clinic, patient characteristics and parameters used with the Synus Novadiode 810T laser equipment, from August 2010 to July 2011. Subjects and methods: 238 patients were attended, in which 432 operations were performed with a range of 2 to 7 attentions per patient. Because skin phototype IV was predominant (96% of cases), the minimumparameters recommended by the equipment manufacturer were used, increasing to a maximum of fluences according to the type and skin tone and the individual sensitivity of each patient. Results: attention in women prevailed (range of 3: 1), noting the growing concern of the male sex regarding the care of their skin. Regarding age, the average was 37 years with a range of 25 years to 50 years, which indicates that interest in skin care, especially facial when the third decade of life elapses. They emphasize the combined treatments (18.9%), dyschromias (18%), elimination of moles (14.3%) and rejuvenation (13%). Conclusion: there is a growing concern in women, regarding the care of their skin, especially facial when the third decade of life, where the combined treatment of dyschromias with scarring, telangiectasia or expression lines is more frequent. In addition, the important demand for laser treatments must be considered, with the month of August receiving the most attention being attributed to the holiday period in the sierra region. (AU)

Prevention and management of vision loss relating to facial filler injections

<p><b>INTRODUCTION</b>With the increased use of filler and fat injections for aesthetic purposes, there has been a corresponding increase in the incidence of complications. Vision loss as an uncommon but devastating vascular side effect of filler injections was the focus of this paper.</p><p><b>METHODS</b>A review committee, consisting of plastic surgeons, aesthetic medical practitioners, ophthalmologists and dermatologists from Singapore, was convened by the Society of Aesthetic Medicine (Singapore) to review and recommend methods for the prevention and management of vision loss secondary to filler injections.</p><p><b>RESULTS</b>The committee agreed that prevention through proper understanding of facial anatomy and good injection techniques was of foremost importance. The committee acknowledged that there is currently no standard management for these cases. Based on existing knowledge, injectors may follow a proposed course of action, which can be divided into immediate, definitive and supportive. The goals were to reduce intraocular pressure, dislodge the embolus to a more peripheral location, remove or reverse central ischaemia, preserve residual retinal function, and prevent the deterioration of vision. Dissolving a hyaluronic acid embolus remains a controversial option. It is proposed that injectors must be trained to recognise symptoms, institute immediate actions and refer patients without delay to dedicated specialists for definitive and supportive management.</p><p><b>CONCLUSIONS</b>Steps to prevent and manage vision loss based on current evidence and best clinical practices are outlined in this paper. Empirical referral to any emergency department or untrained doctors may lead to inordinate delays and poor outcomes for the affected eye.</p>

Algumas considerações acerca da medicina estética / Some considerations about aesthetic medicine

Neste artigo, abordaremos alguns aspectos da construção de sentidos acerca do corpo a partir do discurso científico que se moldou com o pensamento moderno e se transformou no pensamento hegemônico de alguns setores da área médica. Ressaltaremos que os sentidos atribuídos ao corpo incorporam questões oriundas de outras áreas da vida social e vão moldar os parâmetros estéticos que influenciam a construção da identidade, a relação com o próprio corpo, a subjetividade e os cuidados com a saúde. Descreveremos alguns momentos dessa construção do pensamento científico moderno, a forma como este pensamento se torna hegemônico, influencia o senso comum, naturaliza a construção da identidade e a forma de lidar com o corpo, interfere nos cuidados com a saúde, expõe uma divisão entre alguns setores da biomedicina, reforça um tipo específico de racionalidade médica e serve de base epistêmica e fundamentação (teórica e discursiva) para alguns setores ligados à medicina estética e às cirurgias estéticas.

In this article, we will discuss some aspects of the construction of the meanings concerning the body from the scientific speech which was modeled based on modern thinking and became the hegemonic thinking of some sectors of the medical field. Meanings attributed to the body bring questions that come from other areas of the social life and those questions will build the aesthetic parameters which will be part of the identity construction, in the relation with the body itself, subjectivity and healthcare. We will describe some moments of the construction of the modern scientific thought and how this thought became hegemonic, influences the common sense, naturalizes identity construction and how dealing with the body, interferes in the healthcare, show a division among some sectors of the biomedicine, reinforce an specific type of medical rationality and makes an epistemic base and principle (theoretical and discursive) to some sectors connected to aesthetic medicine and aesthetic surgeries.

Procedimentos estéticos: percepção do cliente quanto ao esclarecimento para a tomada de decisão / Aesthetic procedures: customer perception regarding clarification for decision making

Este trabalho teve como objetivo verificar a percepção do cliente quanto ao esclarecimento para tomada de decisão referente à realização de procedimentos estéticos. O estudo, do tipo descritivo, exploratório, com abordagem quantitativa dos dados, foi realizado com amostra de 44 clientes, frequentadores da Clínica de Estética e Cirurgia Plástica. A coleta de dados foi realizada por intermédio de um instrumento com base na Escala de Likert, constituída por 28 proposições, classificadas em três categorias: Informação, Competência e Liberdade. Completaram o instrumento, duas escalas, com a finalidade de medir a percepção global dos clientes quanto ao esclarecimento das informações e a liberdade para tomada de decisão. Os resultados mostraram que, em relação ao grau de instrução, houve predomínio dos clientes de nível superior. Quanto à profissão/ocupação, a maioria enquadrou-se nos níveis III, IV e V, que corresponderam aos cargos de ocupação manual especializada, cargos de supervisão e gerência e profissionais liberais e cargos de alta administração, respectivamente; em referência à renda familiar, houve predomínio dos clientes com renda superior a R$ 8000,00 ou mais. Verificou-se também predomínio da faixa etária de 41 a 50 anos, com a maioria dos clientes do sexo feminino e, estado civil casado. Quanto ao tipo de tratamento, o clínico predominou sobre o cirúrgico. Analisadas as três categorias, identificou-se uma discreta superioridade do escore médio atribuído à categoria. Competência em relação ao atribuído às categorias Informação e Liberdade, porém a maioria dos escores das três categorias foi bastante homogênea, sendo os escores médios das categorias superiores a 4,5, ou seja, variando de concordante à alta concordância. Os escores para Informação, Competência e Liberdade estão associados com o tipo de tratamento, mas não com a idade dos clientes. Constatou-se também que, em média, os clientes que se ) submeteram a tratamento clínico atribuíram escores menores do que os clientes que tiveram tratamento cirúrgico. Quanto às questões globais referentes ao esclarecimento das informações e à liberdade para tomada de decisão para o procedimento, temos médias de 9,41 e 9,70 respectivamente. Estes resultados mostram que os profissionais de saúde forneceram informações claras, suficientes e adaptadas às necessidades dos clientes, deixando-os livres e competentes para a tomada de decisão quanto ao procedimento estético

This paper aims at verifying client's perception in relation to the information given for the decision making process relating to aesthetic procedures. The descriptive, exploratory, correlating, with a quantitative approach, was carried out with a sample of 44 clients of the Aesthetic and Plastic Surgery Clinic. The data collection was carried out by means of an instrument based on the Likert Scales, consisting of 28 propositions, classified in three categories: Information, Competence and Freedom. Two other scales completed the instrument so as to measure clients' global perception concerning the elucidation of given information and freedom to make a decision. The level of significance was 5% and the results revealed that as far as education was concerned, most clients had university degrees. Concerning profession/occupation, most clients were positioned in levels III, IV and V, which refer to skilled manual work, supervision and management positions, self-employed professionals and high administrative positions, respectively. As far as family income was concerned, most clients had a monthly income above R$ 8000,00. It was also suggested that there was a slight predominance of clients from the 41-50 year-old age group, being most of them married women. In relation to the treatment, there was a slight predominance of clinical treatments, when compared to the surgical ones, and the procedures chosen were first peeling, 22%, followed by botulinum toxin and filling, 16% each. Among the surgical procedures, the most common was liposuction - 14% of the clients, followed by breast surgeries, 12%. During the analysis of the three categories a slight superiority of the average score given to the 'Competence' category was identified, when compared to the scores given to the 'Information' and 'Freedom' categories, although the average scores for the three categories were quite homogeneous, being all above 4.5, that is, varying from 'agree' to 'totally agree'. The 'information', 'competence' and 'freedom' scores are related to the type of treatment, but not to the clients' age. The survey also confirmed that on average the clients who underwent clinical treatment gave lower scores than the ones who underwent surgical treatment. In relation to global questions, concerning elucidation of information and freedom to make the decision regarding the procedures, we have the average of 9.41 and 9.70 respectively. These results reveal that health professionals provided clients with clear, sufficient and relevant information based on their clients' needs, leaving them free and competent to take the best decision in relation to aesthetic procedures

Clinical Research of Oral-facial Body-image Disturbance / 中国临床心理学杂志

Oral-facial body-image disturbance is one of the mental disorders.This disorder can often be found in the clinic of stomatology and aesthetic medicine,and it can cause severe distress and impairment.This article discusses the relevance between body-image disturbance and etiological factor,appearance,diagnosis,treatment,etc.